Uterotonics Combined B-Lynch Suture In Cesarean Prevention And Treatment Of Maternal High Risk Of Postpartum Hemorrhage

ObjectivePostpartum hemorrhage (postpartum hemorrhage, PPH) refers to the baby within 24 hours after delivery, maternal hemorrhage in excess of 500ml, is a serious complication of childbirth, the incidence of postpartum hemorrhage total number of deliveries accounted for 2% to 3%, China's maternal mortality causes of postpartum hemorrhage accounting for the first, maternal postpartum hemorrhage accounting for China's cause of death of 48.5%. For postpartum hemorrhage, the most common cause is uterine atony (uterine atony), uterine atony uterine bleeding is due to muscle contraction and contractions caused by the weakening function, due to uterine atony postpartum hemorrhage causes of maternal deaths accounted for 25.2% There are risk factors for pregnant women with postpartum hemorrhage patients, such as placenta previa, placental abruption, intrauterine infection, multiple pregnancy, polyhydramnios, great children, previous history of cesarean section, pregnancy-induced hypertension, uterine fibroids strip after surgery, too much parity, acute production, uterine fibroids, uterine malformations, uterine muscle fiber degeneration, intrapartum and postnatal make active preparations can prevent postpartum hemorrhage. In recent years, B-Lynch suture in the treatment of high-risk cesarean section in maternal postpartum hemorrhage achieved good results, this study high-risk maternal cesarean section application uterotonics joint B-Lynch suture to prevent and treat postpartum bleeding, to reduce the incidence of postpartum hemorrhage.MethodsJanuary 2008 to June 2011,38 cases of control group mothers (20 units of oxytocin and uterine muscle wall intramuscular oxytocin 20 units into the liquid intravenous infusion combined with prostaglandin drugs such as ammonia Ding three carboprost deep intramuscular injection of 0.25mg alcohol or uterine contractions and promote muscle wall injection treatment) and 48 experimental groups were (20 units of oxytocin intramuscularly and the uterine muscle wall 20 units of oxytocin infusion into the joint fluid prostaglandin drug If carboprost tromethamine 0.25mg deep intramuscular injection or injection of the uterine muscle to promote uterine wall treatment agents to promote uterine contractions, to give intravenous calcium gluconate for the treatment of uterine contraction, time line of B-Lynch suture suture the uterus) compared the treatment analysis. For high-risk mothers in the caesarean section, after delivery of the fetus and appendages, the application of uterotonics joint B-Lynch suture in cesarean section postpartum hemorrhage prevention, treatment, follow these steps:(1) preoperative positive blood preparation, improve inspection, massage the uterus. (2) application uterotonics: intramuscular and intravenous oxytocin infusion combined with drugs such as prostaglandin Carboprost tromethamine 0.25mg deep intramuscular injection or injection Palace promote uterine treatment. (3) timely cesarean section line B-Lynch suture repair of the uterine control of postpartum hemorrhage, cesarean section to give 20 units of oxytocin to promote uterine contractions into the intravenous fluid therapy. When given a positive maternal postpartum hemorrhage is still invalid after the rescue, when the mothers life in danger, in order to save the mothers life, should be timely hysterectomy or hysterectomy.ResultsIn this study, maternal self-acceptance by the volumetric method, gravimetric method and the visual method to estimate the risk of maternal blood loss during cesarean section and cesarean section before and after testing to estimate the risk of maternal maternal blood 24 hours after cesarean section the amount of bleeding. Control groups were 38 cases, blood loss, at least those of 228ml, blood loss by up to 2613ml; 24 hours after the total amount of bleeding at least those of 405ml,24 hours after those of the total amount of bleeding up to 2790ml. Experimental groups were 48 cases, blood loss, at least those of 150ml, blood loss by up to 1700ml; 24 hours after the total amount of bleeding at least those of 180ml,24 hours after those of the total amount of bleeding up to 1900ml. Through the control group and experimental group, statistical analysis showed significant evidence to prove uterotonics joint B-Lynch suture for the prevention of high-risk maternal postpartum hemorrhage during cesarean section have a significant effect.ConclusionBy uterotonics joint B-Lynch suture technique control high-risk maternal postpartum hemorrhage during cesarean section, the application timing is very important and should be combined with an early, decisive treatment, can effectively reduce the amount of bleeding, the bleeding should be used as maternal risk factors preferred treatment is to improve the success rate of treatment of postpartum hemorrhage, reducing transfusion, to reduce the burden on patients, reduce the incidence of hysterectomy, effectively reducing maternal mortality, reducing maternal postpartum hemorrhage of the serious psychological and physical effects.